Individual provider Active NPI

Christopher Freese, DPT

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1649845553
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300207 Issued in CA
Practice address
9852 Business Park Dr Ste a
Sacramento, CA 95827-1709
Phone
(916) 362-7962
NPI assigned
May 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300207 CA Primary

Addresses

Primary practice location

9852 Business Park Dr Ste a
Sacramento, CA 95827-1709

Mailing address

4207 Vine CT
Vacaville, CA 95688-9742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712002988 CA Practitioner - Physical Therapist in Private Practice 2860894920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mac Performance Physical Therapy IncGroup PAC ID 7810365608, 15 clinicians

Practice addresses (Care Compare)

691 E Bidwell St
Folsom, CA 95630-3120
Phone (916) 572-6162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300207CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mac Performance Physical Therapy Inc Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc Past Accepting new patients

Locations

691 E Bidwell St
Folsom, CA 95630
Phone (916) 572-6162

3727 Bradview Dr
Ste 90
Sacramento, CA 95827

3727 Bradview Dr
Sacramento, CA 95827
Phone (916) 362-7962

3727 Bradview Dr
Ste 100
Sacramento, CA 95827
Phone (916) 572-6162

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1649845553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 VINE CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9852 BUSINESS PARK DR STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271709",
            "telephone_number": "916-362-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREESE",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.